Bibliographic information

GuidelineTherapeutics and COVID-19: living guideline, August 2025
Year of Publication2025
Issuing InstitutionWorld Health Organization

Recommendation

Maintained

We suggest not to use treatment with remdesivir for patients with non-severe COVID-19 at moderate risk of hospitalization

Recommended against

Conditional

Notes and Remarks

  • See Section 6 regarding identifying patients at moderate risk of hospitalization.
  • The GDG concluded that nirmatrelvir-ritonavir represents a superior choice because it is easier to administer than a 3- day course of intravenous remdesivir.
  • The conditional recommendation against represents the panel's view that remdesivir will represent a good choice only in those in whom nirmatrelvir-ritonavir is unavailable or involves problematic interactions, and even then only in a minority of such individuals.
  • Remdesivir should be administered as soon as possible after onset of symptoms, ideally within 7 days

Practical info Given the conditional recommendation against using remdesivir for patients with non-severe COVID-19 at moderate risk of hospitalization, practical considerations were felt to be less relevant here. See practical info for use of remdevisir in patients with COVID-19 at high risk of hospitalization if needed.

Also Featured In

This recommendation also appears in the following guidelines:

Originally Developed
Guideline

Therapeutics and COVID-19: living guideline, 10 November 2023.

Year2023
InstitutionWorld Health Organization